Don't confuse clinical interpretation of X ray which, with a robust
reporting system (we use Teleradiology) ,well trained nurses can do safely,
from X ray reporting which they can't

Paul Howarth
Cornwall

-----Original Message-----
From: Adrian Fogarty [mailto:[log in to unmask]]
Sent: Thursday, May 16, 2002 00:10
To: [log in to unmask]
Subject: Re: ENPs provisionally reporting XRs


I don't fully agree; nurses may be very experienced but they have NO
experience at interpreting x-rays, prior to undertaking ENP training.
Anyway, ENPs as a rule should only obtain opinions from middle grades or
above, not from SHOs, so I agree with you on that principle. To be more
specific however, ENP courses themselves should contain modules on
radiographic interpretation. Failing that the Northwick Park people run
x-ray interpretation courses specifically geared towards ENPs. I suggest you
contact Shelley Brier, at the post-graduate education centre at Northwick
Park Hospital in Harrow for further information.

Adrian Fogarty

----- Original Message -----
From: CAROLE ANN <mailto:[log in to unmask]>
To: [log in to unmask] <mailto:[log in to unmask]>
Sent: Wednesday, May 15, 2002 10:46 PM
Subject: ENPs provisionally reporting XRs

We are developing / expanding our ENP service in Milton Keynes A&E
department. They can currently request some xrays but these always have to
be reviewed by a doctor. Given that the nurses are often much more
experienced than the majority of SHOs this seems to waste time, waiting for
the doctor to be free to view the film and it is also much more difficult to
interpret the film without seeing the patient. What training do ENPs have in
other units before the are independantly able to provisionally report films?
Is anyone aware of any nationally available courses or standards for
introducing this.

Thank you

Carole Ann Johnson

Clinical Fellow